Abstract
Objective: To report the case of a 20-year-old female patient with an unusual presentation of soft nipple fibroma as well as its surgical excision with confirmation of the diagnosis by histopathology, also reviewing all cases of soft nipple fibroma so far published. Case details: Female, 20 years old, with a pedunculated, soft and painless lesion on the left nipple with insidious growth since she was six years old. Tangential surgical excision and histopathological examination were performed with findings of irregular acanthosis, hyperkeratosis, papillomatosis, dermis with connective tissue with loose collagen fibers and numerous capillaries with discrete mononuclear infiltrate, evidencing the diagnosis of soft fibroma. Final considerations: Soft nipple fibroma is a rare benign lesion that usually evolves well after surgical treatment. To date, there are few publications of soft fibroma with this location. Even though it is a benign skin neoplasm, soft fibroma can cause local pain due to trauma in the region, blisters due to local friction and decreased self-esteem when related to aesthetic issues and personal acceptance.
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